Hello! I work as a doctor for 21 years. My name is George O. Sapego. This article will talk about how doctors comment on the publication of his colleagues.
Yesterday, the popular pediatrician discussed ways of commenting publications. I offered to comment on the facts of the publication, do not get personal. The pediatrician did not agree with me. He says that you can not point to the mistakes of doctors because patients decide that fool doctor and go from there to the charlatans, and medicine from this severely affected.
I think it's too dramatic. Professional itself usually does not substitute, but if substituted, it recognizes the error. But patients should know the truth. Leave errors in the public domain, in my opinion, unethical. This is how to find a gun on the street, but will not tell, but simply to escape.
As an illustration, bring your comments to the popular book of the pediatrician.
With some of the facts set out in the book, I do not agree.
I quote from the section on the prevention of the common cold:
... the most correct barrier method
- is to use drops or sprays of saline or normal
physiological and often to irrigate their nasal cavity ...
I have not seen this method anywhere in the current guidelines for the treatment and prevention of colds in children.
I quote from the section on the treatment of acute bacterial rhinosinusitis:
... Currently, the gold standard are two options: In mild cases, use anti-inflammatory nasal spray (also known as topical corticosteroids), and in more severe if not helped previous version - systemic antibiotics (Inside) ...
As far as I know, acute bacterial rhinosinusitis is always treated with antibiotics, not only in more severe cases. Topical corticosteroids are used only with concomitant allergic rhinitis. Topical corticosteroids are not used as the sole means of treatment.
I quote:
... Check: whether the child lying on his back, chest to get the chin;
if the pain increases when pressing on the closed eyes ...
I think that you can not put pressure on the eyes of children. Pressing on the eyes okulokardialny provokes a reflex that can dramatically slow the heart rate and even cause heart failure. Children are especially sensitive to provocations okulokardialnogo reflex (about it I have a separate article you can read it at the link below).
I quote a section of the protein and a serving of dairy products:
... roughly equivalent to one serving - a
100 ml 125 ml milk or fermented milk drink 80 g of curds ...
In 100 ml of milk approximately 3 g of protein and 80 g of curds approximately 12 g of protein. This is four times higher. Why?
It seems to me that such comments are acceptable. And you, dear readers, do not you think?
If you bought a book about health, all found there new ways to treat and prevent check with your doctor.
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Saturday edition cardiac nonsense from 23/11/2019
